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Get Harris County Hospital District Application Form

How To Get Your Harris Health Plan There is no cost to make a Harris Health Financial Assistance Application. If you are asked to pay please call 713-566-6277. Fill out the form called Application for Financial Assistance. Be sure you your husband or wife and ALL children who live with you between 18 and 26 years old sign and date the form. Mail to Harris Health Financial Assistance Program P. O. Box 300488 Houston TX 77230 Drop off at the neare.

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